Claims & Contract Management

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Recovering underpayments from commercial insurers costs the healthcare industry billions every year. When payments come up short against what the provider expects, it’s not...

Published: March 2, 2020 by Experian Health

It’s almost time to say goodbye to Health Insurance Claim Numbers (HICNS). Earlier this year, the Centers for Medicare and Medicaid Services (CMS) began...

Published: October 22, 2019 by Experian Health

Managing the revenue cycle draws in considerable resources for healthcare organizations, even when it’s working as planned. The American Medical Association puts direct transaction...

Published: July 30, 2019 by Experian Health

A recent Black Book survey of more than 500 healthcare networks revealed that hospitals in the U.S. have been painstakingly slow in adopting healthcare revenue...

Published: April 16, 2019 by Experian Health

Healthcare organizations have been forced to deal with billing challenges for so long that many might consider the struggle to simply be the price...

Published: April 9, 2019 by Experian Health

Healthcare providers should be able to focus on what’s important: their patients and the care they need. However, providers and their staff must spend...

Published: March 19, 2019 by Experian Health

It’s no secret that claim denials cost healthcare organizations. They take about 16 more days to pay out than claims that have not been denied. On...

Published: February 21, 2019 by Experian Health

Healthcare runs on revenue, and claims denials can put a big dent into the budgets of healthcare providers — between 5 and 10 percent of claims...

Published: January 30, 2019 by Experian Health

The Vancouver Clinic was facing the same problems that all healthcare organizations grapple with: too many claims denials and too much bad debt. So,...

Published: January 8, 2019 by Experian Health

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